Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750833414 Individual Practitioner Male Practitioner

Alfred D. Jackson , LSW

Social Worker • Independence, OH

Professional Overview & Biography Verified Profile Summary

Alfred Jackson, LSW is a registered healthcare professional specializing in Social Worker in Independence, OH. Practice services are available at 6200 ROCKSIDE WOODS BLVD N STE 305 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6200 Rockside Woods Blvd N Ste 305

Independence, OH 441312343

Telephone 2167789390
Associated Practice Facility / Clinic
🏢 Ohio Mentor, Inc. Facility NPI 1861568990

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Independence, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
40 Specialists

Practicing in Independence, OH (11526 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S.0022623

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Joshua Holsopple

Social Worker

NPI 1033719968
NPI 1043713662

Master of Arts, Licensed Professional Counselor

Timothy Kelly

Case Manager/Care Coordinator

NPI 1083188643
NPI 1114544731
Duane Dukles , LPCC-S

Counselor - Professional

NPI 1134246341

LPCCS

Eppalonian Isaac , LPCC

Counselor - Professional

NPI 1144638396

Licensed Professional Clinical Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 17, 2019

Registered at 6200 ROCKSIDE WOODS BLVD N STE 305, INDEPENDENCE, OH 441312343 (Tel: 2167789390)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2019

Social Worker (License #S.0022623 in OH)

NPI Profile Active October 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2016

Registered at 2121 GREEN RD, CLEVELAND, OH 441211111 (Tel: 2164818585)

📍
Updated Business Mailing Address October 28, 2016

Registered at 18313 HILLER AVE, CLEVELAND, OH 441191707 (Tel: 2167789390)

👤
Provider Name / Credentials Updated October 28, 2016

Recorded as ALFRED JACKSON, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2016

Social Worker (License #S.0022623 in OH)

🟢
Initial NPI Registration & Enumeration October 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750833414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2016
Last Update: September 17, 2019
Sole Proprietor: Yes

Mailing Address

18313 Hiller Ave

Cleveland, OH 441191707

Phone: 2167789390

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.